1. Pharmacist Administered Vaccines Types of Vaccines Authorized to Administer Any vaccineAL, AK*, AZ*, AR*, CA, CO, CT, DC*, DE*, GA*, HI*, ID,IL, IN*, IA, KS, KY*, LA*, MA, ME, MD, MO*, MI*, MN, MS, MT, NE, NV,NJ*, NM, NC, ND, OK, OR, PA, PR*, RI, SC*, SD* TN, TX, UT*, VT, VA*, WA, WI Influenza, Pneumo and Zoster (I, P, Z) NH Other combosFL, NY, OH **[will change to any 3/15/15], WV**, WY** * Via Rx for some; ** broad list of vaccines Based upon APhA / NASPA Survey of State IZ Laws/ Rules Updated January 31, 2015 1

2. Pharmacist Administered Vaccines Prescriber issued protocols vs Rx ProtocolFL, KS, MN, NV, WI Protocol or Rx (depending on age and/or vaccine) AL, AK, AR, CO, CT, DC, DE, GA,HI, IL, IN, IA, KY, MA, MI, MS, MO, NE, NY, NC, ND OH, OK, PA, PR, RI, TN, TX, UT, VT, WA Protocol/Rx or No Prescriber/Rx Needed (depending on age and/or vaccine) AZ, CA, ID, LA, ME, MD, MT NH, NJ, NM, OR, SC, SD, VA, WV, WY Based upon APhA / NASPA Survey of State IZ Laws/ Rules Updated January 31, 2015 2

3. Pharmacist Administered Vaccines Patient-Age Limitations * Scope varies >18yoCT, FL,, MA, NY, PA, PR*, VT, WV >14yoHI*, NC L, OH* [will change 3/15/ 2015] >12 yoMT* >10yoIL *, L, MN L, >9yoDE, ME L, MD*, L, RI L >7yoAR*, L, NJ *,L, WY L >6yoAZ L, KS L, WI* >5yoND L Any age AL, AK, CA,CO, DC*, GA*, ID*, IN*, IA*, KY*, LA*, MI, MS, MO, NE, NV, NH L, NM, OK, OR*, SC*, SD*, TN, TX*, UT, VA*, WA Based upon APhA / NASPA Survey of State IZ Laws/ Rules Updated January 31, 2015 3 * Via Rx L Limited to certain vaccines

4. Pharmacist Administered Vaccines Patient-Age Limitations via RX Scope varies OH will be added age 7 on 3/15/2015 >18yo CT, ME, MA, NY*, NC, PA, PR, SC, VT, WV, WY >14yoHI*, >11yoIN, MD*, ND >10yoIL* >9yo DE, MD*, RI* >7yoAR, NJ* >6yoAZ, WI* Any age AL, AK, CA, CO, DC, GA, ID, IN, IA, KY, LA, MI, MS MO, NE, OK, OR, SC, SD, TN, TX, UT, VA, WA, Based upon APhA / NASPA Survey of State IZ Laws/ Rules Updated January 31, 2015 4

5. Pharmacist Administered Vaccines Patient-Age Limitations via prescriber protocol * Scope varies >18yo CT, FL*, HI, ME, MA, MT*,NJ, NY*, PA,PR*, SC*, VT, VA >14yoHI*, NC*, OH* [will change 3/15/15] >13yoGA* >12yoDC, MO* >11yoIN >10yoIL*, IN*, MN* >9yoDE, KY*, ME*, RI* >7yoAR, TX* >6yoIA*, KS*, WI, VA* >5yoND* Any age AL, AK, CA, CO, MI, MS, MT, NE, NM, NV, OK, SD, TN, UT, WA Based upon APhA / NASPA Survey of State IZ Laws/ Rules Updated January 31, 2015 5 * Scope varies

6. Pharmacist Administered Vaccines May student interns administer vaccines? Number of states / territories allowing 44 States / territories not authorized8 (FL, MA, NH, NJ, NY, PA, PR, SC) Criteria common among states Student must be trained (complete Certificate Training Program) Operating under supervision of trained pharmacist Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective January1, 2014) Updated January 31, 2015 6

7. Pharmacist Administered Vaccines Authority to Administer Pneumococcal Vaccine StatesAL, AK*, AZ*, AR, CA, CO, CT, DC*, DE, FL, GA*, HI, IA, ID, IL, IN, KS, KY*, LA*, MA*, MD*, ME, MI, MN, MO, MS, MT**, NE, NH, NV, NJ, NM, NC, ND, NY, OH, OK, OR, PA, PR, RI, SC*, SD* TN, TX, UT, VT, VA, WA, WV, WI, WY*** *Via Rx / pt specific protocol for some **Pneumococcal polysaccharide without an Rx; all other forms under protocol ***Pneumococcal polysaccharide only Part B Vaccine Based upon APhA / NASPA Survey of State IZ Laws/ Rules Updated January 31, 2015 7

8. Pharmacist Administered Vaccines Authority to Administer Zoster Vaccine YesAL, AK, AZ, AR, CA, CO, CT, DC, DE, FL,GA*, HI, ID, IL, IN, IA, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NE, NH, NY*, NV,NJ, NM, NC, ND, OH, OK, OR, PA, PR*, RI, SC*, SD, TN,,TX, UT, VT, VA, WA, WI, WV, WY *Via Rx only Based upon APhA / NASPA Survey of State IZ Laws/ Rules Updated January 31, 2015 8

9. Pharmacist Administered Vaccines Authority to Administer Td / Tdap YesAL, AK, AZ, AR, CA, CO, CT, DC, DE, GA*, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NE, NV, NJ, NM, NC, ND, OH, OK, OR, PA, PR*, RI, SC*, SD, TN, TX, UT, VA,VT, WA, WI, WV, WY NoFL, NH, NY *Via Rx only Many have age restrictions Based upon APhA / NASPA Survey of State IZ Laws/ Rules Updated January 31, 2015 9

10. Authority to Administer HPV Vaccine DC AR AL IN LA MO TX ID VA KS WV PA OR MS UT OK NH NC GA SD WY FL MT NE ND KY CO NM WA AK IA NV SC OH HI AZ CA MD DE TN MA NY RI IL CT VT NJ MI WI ME MN Pharmacists Can Administer HPV Pharmacists Can Administer HPV – but only by RX + PR Pharmacist Administered Vaccines Based upon APhA/NASPA Survey of State IZ Laws/ Rules Updated January 31,2015 Pharmacists Cannot Administer HPV 10

11. Pharmacist Administered Vaccines Authority to Administer HPV YesAL, AK, AZ, AR, CA, CO, CT A, DE, GA R, HI A, ID, IL A,,IN, IA, KS A, KY, LA, ME A, MD *, MA A, MI, MN A, MO, MS, MT, NE,NJ A, NH, NM, NC A, ND, NV, OK, OR, PA A, RI A, PR A, R, SC R, SD,TN, TX, UT, VT A, VA, WA, WI, WY, DC NoFL, NH, NY, OH*, WV R Via Rx only A Age limitation IF greater than 12 y.o, may require Rx * OH will be a yes effective 3/15/15. Based upon APhA / NASPA Survey of State IZ Laws/ Rules Updated January 31, 2015 11

12. Pharmacist Administered Vaccines Patient-Age Limitations – for HPV Vaccination >18yo AZ*, AR*,CT, HI, IA*, KS, ME, MD*, MA, MN, MT, NC R, NJ,PA, PR R, RI, SC R, VA*, VT, WY >17yoLA* >14yoIL, KY*, TX* >12yoID*, DC* >11yoIN*, ND, OR* >9yoDE >6yoWI No Age Limit AL, AK, CA, CO, GA R MI, MS, MO R, NE, NV, NM,OK, SD, TN, UT, WA Based upon APhA / NASPA Survey of State IZ Laws/ Rules *Younger ages under prescription/protocol R Requires a prescription Updated January 31, 2015 12

13. Pharmacist Administered Vaccines Authority to Administer Meningococcal YesAL, AK, AZ, AR, CA, CO, CT A,*, DC, DE, FL A GA R, HI A ID, IL A, IA, IN, KS A, KY, LA, ME A, MA A, MD, MI MN A, MO, MS, MT, NC A, ND, NE, NJ A, NM, NY A, NV, OH A, OK, OR, PA A,, PR R, A, RI A, SC R, SD, TN, TX, UT *, VT A,, VA, WA, WI, WY A NoNH, WV R Via Rx only A Age limitation IF greater than 12 y.o,may require Rx Based upon APhA / NASPA Survey of State IZ Laws/ Rules Updated January 31, 2015 13

14. Pharmacist Administered Vaccines Patient-Age Limitations – for Meningococcal >18yo AZ*, CT, FL, HI, IA*, KS, ME, MD*, MA, MN, MT, NC, NJ, NY, OH, PA,RI, PR R,SC R, VT, VA*, WY >17yoLA* >14yoIL, KY*, TX* >12yoDC, ID, MO* >11yoIN*, ND,OR* >9yoDE >7yoAR >6yoWI No Age LimitAL, AK, CA, CO, GA R, MI, MS, NE, NV NM, OK, SD, TN, UT, WA Based upon APhA / NASPA Survey of State IZ Laws/ Rules *May allow for younger ages under prescription R Via Rx only Updated January 31, 2015 14

15. Pharmacist Administered Vaccines Influenza - Age of Administration Authorized by Any Provision >18yoCT, FL, MA, NY, PA, PR, VT, WV >14yoHI*,NC, OH >12yoID, MT >10yoIL, MN >9yoDE, ME, MD, RI >7yoAR, WY >6yoAZ, KS, NJ*, WI >5yoND Any age AL, AK, CA, CO, DC*, GA*,IN*, IA*, KY*, LA*, MI, MS, MO*, NE, NH, NM, NV, OK, OR*, SD, SC*, TN, TX*, UT, VA*, WA Based upon APhA / NASPA Survey of State IZ Laws/ Rules * Requires Prescription Updated January 31, 2015 15

16. Pharmacist Administered Vaccines Influenza - Age of Adm Authorized by Protocol >18yoCT, FL, HI, MA, NJ, NY, PA, PR, VT >14yo NC, OH >13yoGA >12 yoDC, MO >11yoIN >10yoIL, MN >9yoDE, KY, RI >7yoAR, TX >6yoAZ, IA, KS, WI >5yoND Any age AL, AK,CA, CO,MI, MS, NE, NV, OK, SD,TN, UT, WA Based upon APhA / NASPA Survey of State IZ Laws/ Rules Updated January 31, 2015 16

17. Pharmacist Administered Vaccines Influenza No MD protocol or Rx Needed >18yo SC, SD WV >12yoID, MT, NJ >11yoOR >9yoME, MD >7yo LA, WY >6yoAZ >3yoCA >6moVA Any ageNH, NM, Based upon APhA / NASPA Survey of State IZ Laws/ Rules Updated January 31, 2015 17 16 States Note: authority comes from statute and/or regulation from BOP or Public Health